SOUTHERN URGENT CARE LLC
NPI 1205136470
Clinic/Center - Urgent Care in Savannah, GA
About Southern Urgent Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN URGENT CARE LLC (NPI 1205136470) is a healthcare organization registered as an urgent care in Savannah, Georgia and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through December 31, 2026 and lists Arvin Ward, Partner/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Urgent Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Urgent Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2016439
Southern Urgent Care · Savannah, GAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Southern Urgent Care LLC's NPI number?
The NPI number for Southern Urgent Care LLC is 1205136470. It was assigned to this organization in the NPPES registry on October 22, 2010.
Where is Southern Urgent Care LLC located?
Southern Urgent Care LLC is located at 4717 Highway 80 E Suite H-I, Savannah, GA 31410. The listed phone number is (912) 898-2227.
What is Southern Urgent Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Southern Urgent Care LLC enrolled in Medicare?
Yes. Southern Urgent Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Urgent Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Southern Urgent Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southern Urgent Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2016439) is associated with this NPI, valid through December 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Southern Urgent Care LLC was last updated on October 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Southern Urgent Care Llc · NPI 1205136470
Urgent Care organization in Savannah, Georgia. Organization record, active in the CMS NPPES registry since October 22, 2010.
## Identity
- **NPI:** 1205136470 (Entity type: Organization)
- **Enumerated:** October 22, 2010
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Arvin Ward, PARTNER/OWNER
## Practice location
- **Address:** 4717 HIGHWAY 80 E, SUITE H-I, Savannah, GA 31410-2943
- **Phone:** (912) 898-2227
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Emergency Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2010
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205136470) · Data from the CMS NPPES public registry.